Clinica Psicoterapeutica Sistemica E Integrativa, CSP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4104 Issued in PR

Legal business name

CLINICA PSICOTERAPEUTICA SISTEMICA E INTEGRATIVA, CSP

Practice address

Calle Guayama #10
Bo Pueblo
Salinas, PR 00751

Phone

(787) 677-7704

NPI assigned

Mar 26, 2012

Last updated

Oct 8, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Janis J. Diaz, PSY.D.NPI 1366712226

Title

Presidenta

Phone

(787) 677-7704

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Janis J Diaz, PSY.D.

  • Clinical Psychologist
  • Salinas, PR
  • NPI 1366712226
  Medicare reassignment NPD Authorized official
• Josephine I Rivera Colon

  • Clinical Social Worker
  • Barranquitas, PR
  • NPI 1184517542
  NPD (past)
• Maria Milagros Rivera, LMSW

  • Clinical Social Worker
  • Ciales, PR
  • NPI 1487373635

  Single Specialty

  NPD (past)
• Jessy Joan Torres Martinez, MSW, PH.D, NSL

  • Clinical Social Worker
  • Salinas, PR
  • NPI 1326060765
  NPD (past)
• Ivan Javier Vazquez Torres, PSY.D

  • Clinical Psychologist
  • Ponce, PR
  • NPI 1265772784
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349654400000",
    "number": "1972879823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 414",
            "city": "AGUIRRE",
            "state": "PR",
            "postal_code": "007040414",
            "telephone_number": "787-677-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE GUAYAMA #10",
            "address_2": "BO PUEBLO",
            "city": "SALINAS",
            "state": "PR",
            "postal_code": "00751",
            "telephone_number": "787-677-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA PSICOTERAPEUTICA SISTEMICA E INTEGRATIVA, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-26",
        "last_updated": "2012-10-08",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "JANIS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENTA",
        "authorized_official_telephone_number": "787-677-7704",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "4104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1366712226",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Centro de Servicios Primarios de Salud de Patillas Inc. (Centro Servicios Primarios de Salud de Patillas Inc.-Sra. Luisa Conde)
• Centro Medico Salinas
• Elsa M Class
• Clinica de Salud Preventiva Dra Mariliz Suarez Colon LLC
• Clinica Medica Dra Ortiz-Lopez Inc
• Clinica Santa Fe
• Clinica Sonidos Y Palabras Inc
• Sorimar Coll Santiago
• Nelson Colon
• Xiomara R Colon, THL

• Clinical Psychologist in Salinas, PR
• Providers in Salinas, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.